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Individual

MR. JONATHAN PAUL MASCHKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APSW

Contact information

Practice address
1555 S LAYTON BLVD., MILWAUKEE, WI 53215
(414) 385-6600
(414) 944-0017
Mailing address
1555 S LAYTON BLVD., MILWAUKEE, WI 53215
(414) 385-6600
(414) 944-0017

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1761-121
WI

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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